Individual provider Active NPI

Donald Raymond Maestas Jr., L.P.C., L.A.C.

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1053442731
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-6499 Issued in CO
Practice address
7940 S University Blvd Ste 220
Centennial, CO 80122-5104
Phone
(303) 550-8382
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-6499 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 211 CO

Addresses

Primary practice location

7940 S University Blvd Ste 220
Centennial, CO 80122-5104

Mailing address

4163 Quitman St
Denver, CO 80212-2127
Phone (303) 550-8382

Other practice location 1

4163 Quitman St
Denver, CO 80212-2127
Phone (303) 550-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
211COMDAddiction (Substance Use Disorder) Counselor
LPC-6499COMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1053442731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 QUITMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122127",
            "telephone_number": "303-550-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 S UNIVERSITY BLVD STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225104",
            "telephone_number": "303-550-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4163 Quitman St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802122127",
            "country_code": "US",
            "telephone_number": "303-550-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "DONALD",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "L.P.C., L.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-6499",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.